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Atrium Health Union: what a joint replacement costs

Monroe, NC 28112 · CMS Certification Number 340130. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,806
Union West Surgery Center, 15.8 mi
Outpatient here
$11,235
106 Medicare cases, APC 5115
Inpatient here
$17,699
20 Medicare stays, MS-DRG 470

Medicare prices at Atrium Health Union

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,699$102,5455.8×$11,235
Shoulder replacement———$16,710
Hip replacement after a fracture (DRG 522)$15,716$93,7476.0×—

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 157 beds

North Carolina requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Atrium Health Union for a knee or hip replacement?

In 2024 Medicare paid Atrium Health Union an average of $17,699 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $11,235 per outpatient case (APC 5115, 106 cases).

What is Atrium Health Union's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $102,545, 5.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Atrium Health Union?

Yes for Medicare facility payments. Union West Surgery Center, an orthopedic surgery center 15.8 mi away, is paid about $8,806 by Medicare for a knee replacement (CPT 27447), $8,893 less than an inpatient stay at Atrium Health Union. Not every patient is a surgery-center candidate.

How does Atrium Health Union compare with other North Carolina hospitals?

Medicare paid Atrium Health Union more than 90% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.